POND AND YOUNG PLLC
NPI: 1912595257
· KELSO, WA 98626
· Dentist
· NPI assigned 01/04/2021
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | KJOSE, RENEE (MANAGER/CONTROLLER) |
| NPI Enumeration Date | 01/04/2021 |
Related Entities
Other providers sharing the same authorized official: KJOSE, RENEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,781 |
$38K |
| 2022 |
1,776 |
$41K |
| 2023 |
1,495 |
$42K |
| 2024 |
1,398 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,218 |
1,199 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
1,756 |
1,688 |
$48K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,754 |
1,729 |
$34K |
| D1120 |
Prophylaxis - child |
707 |
701 |
$16K |
| D0274 |
Bitewings - four radiographic images |
887 |
871 |
$12K |
| D0272 |
Bitewings - two radiographic images |
75 |
75 |
$751.17 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$432.63 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
39 |
$400.64 |